114,026 results match your criteria Obstetric Anesthesia Digest [Journal]
Acta Med Port 2018 Nov 30;31(11):648-655. Epub 2018 Nov 30.
Serviço de Neonatologia. Departamento de Pediatria. Hospital Universitário de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Clínica Universitária de Pediatria. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.
Introduction: Prematurity and low birth weight have been associated with increased neonatal morbidity and mortality. This study aimed to evaluate possible risk factors for prematurity associated with fetal growth restriction and being small for gestational age and to determine the incidence of morbidity in these two groups of infants.
Material And Methods: Retrospective case-control study of newborns with gestational age of less than 32 weeks, with obstetric diagnosis of fetal growth restriction and with the clinical diagnosis of small for gestational age, admitted to the Neonatal Intensive Care Unit of a tertiary hospital for a period of six years. Read More
Med Anthropol 2018 Dec 6:1-14. Epub 2018 Dec 6.
a Center for the Study of Women and Society, Graduate Center , City University of New York , New York , USA.
In this article, I analyze the birth stories of Black women living in the United States. Their birth stories describe various forms of racism during medical encounters while they were pregnant or during labor and delivery. In the global women's health arena, the issues raised are viewed as obstetric violence. Read More
Health Econ Rev 2018 Dec 5;8(1):32. Epub 2018 Dec 5.
Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, 4222, Australia.
Background: Critical evaluation of the cost-effectiveness and clinical effectiveness of continuity of midwifery care models for women experiencing complex pregnancy is an important consideration in the review and reform of maternity services. Most studies either focus on women who experience healthy pregnancy or mixed risk samples. These results may not be generalised across the childbearing continuum to women with risk factors. Read More
BMC Health Serv Res 2018 Dec 5;18(1):944. Epub 2018 Dec 5.
National Institute for Medical Research (NIMR)-Headquarters, PO Box 9356, Dar-es-Salaam, Tanzania.
Background: The Lake and Western Zones of Tanzania that encompass eight regions namely; Kagera, Geita, Simiyu, Shinyanga, Mwanza, Mara Tabora and Kigoma have consistently been reported with the poorest Maternal Newborn and Child Health (MNCH) indicators in the country. This study sought to establish the provision of Emergency Obstetric Care (EmOC) signal functions and reasons for the failure to do so among health centers and hospitals in the two zones.
Methods: All the 261 public and private hospitals and health centers providing Obstetric Care services in Lake and Western Zones were surveyed in 2014. Read More
Eur J Anaesthesiol 2018 Nov 30. Epub 2018 Nov 30.
From the Anaesthesiology and Intensive Care Department (SM, IG, MP, RP, DB, MdN), Maternal-Fetal Medicine Department (NM, SA, EC), Paediatric Surgery Department, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain (CG, JAM, ML).
Background: Prenatal myelomeningocele repair by open surgery can improve the neurological prognosis of children with this condition. A shift towards a fetoscopic approach seems to reduce maternal risks and improve obstetric outcomes.
Objective: The aim of this study was to report on the anaesthetic management of women undergoing prenatal open or fetoscopic surgery for neural tube defects. Read More
BJOG 2018 Dec 3. Epub 2018 Dec 3.
Danish Centre for Health Economics (DaCHE), Department of Public Health, University of Southern Denmark, Odense, Denmark.
Objective: To evaluate the cost-effectiveness of incisional Negative Pressure Wound Therapy (iNPWT) in preventing surgical site infection in obese women after caesarean section.
Design: A cost-effectiveness analysis conducted alongside a clinical trial.
Setting: Five obstetric departments in Denmark. Read More
Int J Bipolar Disord 2018 Dec 2;6(1):26. Epub 2018 Dec 2.
Department of Psychiatry, Erasmus University Medical Centre Rotterdam, Rotterdam, The Netherlands.
Lithium is an effective treatment in pregnancy and postpartum for the prevention of relapse in bipolar disorder. However, lithium has also been associated with risks during pregnancy for both the mother and the unborn child. Recent large studies have confirmed the association between first trimester lithium exposure and an increased risk of congenital malformations. Read More
J Clin Monit Comput 2018 Nov 30. Epub 2018 Nov 30.
Department of Anesthesia and Surgical Critical Care, Hospital Universitario Rio Hortega (HURH), C/Dulzaina 2, 47012, Valladolid, Spain.
Epidural maintenance technique for labour analgesia updates constantly. Thanks to infusion pumps, the recently developed programmed intermittent epidural bolus (PIEB) may reduce the use of anesthetic drugs and minimize unintended consequences such as cardio or neurotoxicity. Nevertheless, it is not yet a general practice. Read More
Sci Rep 2018 Nov 30;8(1):17516. Epub 2018 Nov 30.
Department of Neuroscience, Physiology and Pharmacology, University College London, London, WC1E 6BT, United Kingdom.
In neonatal animal models, isolated limb movements during active sleep provide input to immature somatomotor cortex necessary for its development and are somatotopically encoded by alpha-beta oscillations as late as the equivalent of human full-term. Limb movements elicit similar neural patterns in very pre-term human infants (average 30 corrected gestational weeks), suggesting an analogous role in humans, but it is unknown until when they subserve this function. In a cohort of 19 neonates (31-42 corrected gestational weeks) we showed that isolated hand movements during active sleep continue to induce these same somatotopically distributed oscillations well into the perinatal period, but that these oscillations decline towards full-term and fully disappear at 41 corrected gestational weeks (equivalent to the end of gestation). Read More
Nurs Womens Health 2018 Dec;22(6):e1-e32
The use of intermittent auscultation (IA) for fetal surveillance during labor decreased with the introduction of electronic fetal monitoring (EFM). The increased use of EFM is associated with an increase in cesarean births. IA is an evidence-based method of fetal surveillance during labor for women with low risk pregnancies and considered one component of comprehensive efforts to reduce the primary cesarean rate and promote vaginal birth. Read More
Nurs Womens Health 2018 Dec;22(6):506-509
Placenta 2018 Dec 17;72-73:36-40. Epub 2018 Oct 17.
Centre for Trophoblast Research, Department of Physiology, Development and Neuroscience, Downing Street, University of Cambridge, Cambridge, CB2 3EG, UK. Electronic address:
Intrauterine growth restriction (IUGR) is a common obstetric complication with immediate and life-long consequences for offspring health. Yet the mechanisms underlying its aetiology require elucidation. Recent work in the guinea pig shows that progressive uterine artery occlusion induced IUGR and vascular dysfunction in pups. Read More
Span J Psychol 2018 Dec 3;21:E64. Epub 2018 Dec 3.
Universidade de Santiago de Compostela (Spain).
Although pregnancy increases the vulnerability to anxiety, no specific assessment instruments are usually used to detect it. The objective of this study was to adapt the Pregnancy Related Anxiety Questionnaire (PRAQ) to Spanish population, as well as analyze its validity and reliability. A sample of 367 nulliparous pregnant women with a normal risk status filled in a socio-demographic and obstetric-gynaecological questionnaire, the PRAQ, the Edinburgh Postnatal Depression Scale (EPDS) and the State-Trait Anxiety Inventory (STAI). Read More
Hum Reprod 2018 Dec 4. Epub 2018 Dec 4.
Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-Sen University, 58, Zhongshan Road II, Guangzhou, China.
Study Question: Do human embryos survive long-term cryopreservation (CP) (≥12 years) and implant after frozen embryo transfer (ET)?
Summary Answer: Human embryos remain usable after long-term CP.
What Is Known Already: Several cohort studies have reported the live birth rate or neonatal outcomes of human embryos after CP for up to 5 years. Only a few case reports have described successful live births from human embryos after long-term CP up to 12 years. Read More
Rev Lat Am Enfermagem 2018 Nov 29;26:e3069. Epub 2018 Nov 29.
Fundação Oswaldo Cruz, Centro de Pesquisas René Rachou, Belo Horizonte, MG, Brazil.
Objective: to analyze the scientific production on obstetric violence by identifying and discussing its main characteristics in the routine care for the pregnant-puerperal cycle.
Method: integrative literature review of 24 publications indexed in the Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online, SciVerse Scopus, Web of Science and the Scientific Electronic Library Online and Virtual Health Library.
Results: the publications are intensified from 2015 onwards and present methodological designs of quantitative and qualitative nature. Read More
Rev Peru Med Exp Salud Publica 2018 Jul-Sep;35(3):449-455
. Hospital III Yanahuara. Arequipa, Perú.
Objectives: To assess the effects of the administration of oxytocin during labor management on the levels of malondialdehyde (MDA), nitric oxide (NO), and S100B protein in newborns.
Materials And Methods: We selected 80 term pregnant women without obstetric and fetal pathology, forming two groups: pregnant women with normal delivery and pregnant women conducted with oxytocin. Blood was collected immediately after delivery from the umbilical cord vein to measure MDA, ON and from the artery for protein S100B. Read More
Rev Bras Enferm 2018 Nov-Dec;71(6):2969-2973
Universidade Federal do Ceará. Fortaleza, Ceará, Brazil.
Objective: To evaluate breastfeeding self-efficacy among blind mothers.
Method: This is a descriptive and exploratory research carried out in Fortaleza-Ceara, with ten blind mothers. Data were collected through an interview with the application of a socioeconomic and obstetric questionnaire and the Breastfeeding Self-Efficacy Scale - Short Form. Read More
Rev Esc Enferm USP 2018 Nov 29;52:e03404. Epub 2018 Nov 29.
Universidade Federal do Ceará, Departamento de Enfermagem, Fortaleza, CE, Brazil.
Objective: The aim of this study was to compare the incidence of different criteria of maternal near miss in women admitted to an obstetric intensive care unit and their sensitivity and specificity in identifying cases that have evolved to morbidity.
Method: A cross-sectional analytical epidemiological study was conducted with women admitted to the intensive care unit of the Maternity School Assis Chateaubriand in Ceará, Brazil. The Chi-square test and odds ratio were used. Read More
Ultrasound Obstet Gynecol 2018 Dec;52(6):806
Head of Research, Monash Imaging, Head of Obstetric MRI, Monash Health, Adjunct Clinical Professor, School of Clinical Sciences, Monash University, 246 Clayton Road, Clayton, Victoria, 3168, Australia.
Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):552-556
Department of General Surgery, İstanbul University İstanbul Faculty of Medicine, İstanbul-Turkey.
Background: The aim of this study was to compare the obstetric and surgical outcomes of laparoscopic appendectomy (LA) and open appendectomy (OA) performed for pregnant women at a single center. It was the hypothesis of this study that there would be no significant difference in the results.
Methods: The medical records of 57 consecutive pregnant women who underwent an appendectomy between January 2009 and September 2018 were reviewed retrospectively. Read More
Biomed Res Int 2018 1;2018:9189648. Epub 2018 Nov 1.
Department of Obstetrics and Gynecology, University of Campinas School of Medicine, 101 Alexander Fleming Street, 13083-891 Campinas, Brazil.
Birth records as SINASC (Brazilian Live Birth Information System) are highlighted in uncommon conditions such as twin pregnancy whose prevalence rarely exceeds 2 to 3% of the total number of births. The objective of this study was to assess the prevalence of twin pregnancies in Brazil and their maternal and perinatal characteristics using data from the national birth e-Registry. All births in Brazil from 2011 to 2014 were assessed. Read More
J Pregnancy 2018 1;2018:3467308. Epub 2018 Nov 1.
Department of Nursing, Lalitpur Nursing Campus, Sanepa, Lalitpur, Nepal.
Background And Objective: Antenatal care (ANC) is one of the main components of maternal health. Utilization of safe motherhood is deprived in women who belong to low-caste groups like Dalit of Nepal. Low socioeconomic status, poor knowledge and awareness on obstetric complications, lack of decision-making autonomy, and limited health care options lead to underutilization of existing maternal health care service. Read More
Obstet Gynecol Int 2018 31;2018:6396387. Epub 2018 Oct 31.
Baylor College of Medicine, Department of Obstetrics and Gynecology, Division of Global Women's Health, 6651 Main St., Houston, TX 77030, USA.
Urethral incontinence is an issue for approximately 10-15% of women with an obstetric fistula. Various surgical interventions to prevent this exist, including the pubococcygeal sling and refixation of the pubocervical fascia. Neither has been evaluated in comparison to one another. Read More
Reprod Health 2018 Dec 4;15(1):198. Epub 2018 Dec 4.
School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin, DO2 T283, Ireland.
Background: Respectful maternity care includes treating women with dignity, consulting them about preferences, gaining consent for treatment, respecting their wishes, and giving care based on evidence, not routines. In the absence of any documented evidence, this study aimed to ascertain maternity care-givers' perceptions of respectful care provided for childbearing women in Czech Republic.
Methods: Following ethical approval, an online quantitative survey with qualitative comments was completed by 52 respondents recruited from workshops on promoting normal birth, followed by snowball sampling. Read More
BMC Med 2018 Dec 5;16(1):227. Epub 2018 Dec 5.
INSERM UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOPé), Centre for Epidemiology and Statistics Sorbonne Paris Cité, DHU Risks in Pregnancy, Paris Descartes University, Hôpital Tenon, Rue de la Chine, Paris, 75020, France.
Background: Emerging evidence suggests intensity of perinatal care influences survival for extremely preterm babies. We evaluated the effect of differences in perinatal care intensity between centres on sensorimotor morbidity at 2 years of age. We hypothesised that hospitals with a higher intensity of perinatal care would have improved survival without increased disability. Read More
Rev Prat 2016 Sep;66(7):721-726
Service d'anesthésie, Hôpital femme-mère-enfant, CHU de Lyon, Bron, France.
International and French maternal mortality. Maternal mortality, defined as the death of a woman during pregnancy and 42 days following delivery, remains a major challenge to health systems worldwide and a known indicator of development. As did the Millennium Development Goal 5, France health ministry targeted a reduction in maternal mortality ratio. Read More
Endocrinol Metab (Seoul) 2018 Dec;33(4):466-472
Department of Endocrinology, Faculty of Medicine, Pontifical Catholic University of Chile, Santiago, Chile.
Background: Thyroid dysfunction is associated with negative neonatal and obstetric outcomes. Large differences in thyroid function reference intervals exist across different populations. These differences can be explained by population-specific factors, such as iodine status. Read More
PLoS One 2018 4;13(12):e0208470. Epub 2018 Dec 4.
Departments of Human Nutrition, Debremarkos University, Debremarkos, Ethiopia.
Background: Maternal morbidity and mortality have been one of the most challenging health problems that concern the globe over the years. Uterine rupture is one of the peripartum complications, which cause nearly about one out of thirteen maternal deaths. This study aimed to assess the prevalence and associated factors of uterine rupture among obstetric case in referral hospitals of Amhara Regional State, Northern Ethiopia. Read More
PLoS One 2018 4;13(12):e0208563. Epub 2018 Dec 4.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Purpose: Pregnancy-related critical illness leads to death for 3-14% of affected women. Although identifying patients at risk could facilitate preventive strategies, guide therapy, and help in clinical research, no prior systematic review of this literature exploring the validity of risk prediction models for maternal mortality exists. Therefore, we have systematically reviewed and meta-analyzed risk prediction models for maternal mortality. Read More
PLoS One 2018 4;13(12):e0208387. Epub 2018 Dec 4.
Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden.
Objectives: Implementation of ultrasound in antenatal care (ANC) in low-income countries has been shown to increase pregnant women's compliance with ANC visits, and facilitate detection of high-risk pregnancies. In Rwanda, as in other low-income countries, access to ultrasound has increased significantly, but lack of training is often a barrier to its use. The aim of this study was to investigate Rwandan health professionals' experiences and views of obstetric ultrasound in relation to clinical management, resources and skills. Read More
J Matern Fetal Neonatal Med 2018 Dec 4:1-191. Epub 2018 Dec 4.
a Department of Gynecology and Obstetrics , CIC Hôpital Mère-Enfant , Nantes , France.
Introduction: The incidence of fetal goiters is reported to be around 1 per 40 000 births. The risk of complications is first of all obstetric, directly related to goiter size, but it may also affect longer term fetal and child development, depending on whether the goiter is due to hypo- or hyperthyroidism. Management is multidisciplinary, but not yet consensual and not always optimal by either endocrinologists or obstetricians. Read More
Chin Med J (Engl) 2018 Dec;131(23):2880-2881
Heart Center, Qingdao Women and Children's Hospital, Qingdao University, Qingdao, Shandong 266034, China.
J Educ Perioper Med 2018 Jul-Sep;20(3):E626. Epub 2018 Jul 1.
Background: The use of epidural analgesia for laboring women is generally unavailable at public hospitals in Guyana despite favorable utilization rates in private institutions. In 2014, a healthcare team completed a targeted mission aimed at neuraxial analgesia training of providers at the preeminent public hospital in Georgetown, Guyana. This study evaluates the impact of the training, including provider attitudes, use, and barriers. Read More
Cureus 2018 Sep 26;10(9):e3362. Epub 2018 Sep 26.
Nephrology, Allama Iqbal Medical College, Lahore, PAK.
Introduction Acute kidney injury (AKI) continues to be a cause of increased morbidity and mortality in pregnant women. While studies have been conducted on the incidence and etiology of this complication, the outcomes of obstetric AKI have not been extensively investigated. The primary focus of this prospective observational study was to analyze the risk factors, etiologies as well as maternal and fetal outcomes of AKI in pregnant females in Pakistan. Read More
Obstet Gynecol Int 2018 29;2018:6345497. Epub 2018 Oct 29.
Department of Obstetrics, Oslo University Hospital, Ullevål, 0424 Oslo, Norway.
Episiotomy should be cut at certain internationally set criteria to minimize risk of obstetric anal sphincter injuries (OASIS) and anal incontinence. The aim of this study was to assess the accuracy of cutting right mediolateral episiotomy (RMLE). An institution-based prospective cohort study was undertaken in a Palestinian maternity unit from February 1, to December 31, 2016. Read More
Am J Infect Control 2018 Nov 30. Epub 2018 Nov 30.
Department of Obstetrics and Gynecology, Tripler Army Medical Center, Honolulu, HI.
Objective: Obstetric-related infections are a major cause of maternal morbidity and mortality worldwide. Our team implemented an evidence-based infection control bundle aimed at reducing obstetric-related infections at our facility.
Methods: A multidisciplinary team at Tripler Army Medical Center developed, implemented, and evaluated an evidence-based maternal safety infection control bundle (MSICB) on labor and delivery aimed at reducing the incidence of surgical site infections (SSI) and chorioamnionitis. Read More
Int J Obstet Anesth 2018 Nov 2. Epub 2018 Nov 2.
Department of Anesthesiology, Perioperative Medicine & Pain Treatment, Shaare Zedek Medical Center, Affiliated with the Hadassah-Hebrew University Medical School Ein-Kerem, Jerusalem, Israel.
Background: This nationwide survey was conducted to provide data about the obstetric anesthesia services in Israeli labor and delivery units in 2016.
Methods: Prospective survey questionnaire was emailed to obstetric anesthesia unit directors/chairperson of all 25 labor and delivery services units within the jurisdiction of the Israeli Ministry of Health.
Results: The response rate was 100%. Read More
Int J Obstet Anesth 2018 Nov 2. Epub 2018 Nov 2.
Department of Anesthesiology, Columbia University Medical Center, United States of America.
Background: The obstetrics work environment has a unique set of stressors that may be associated with burnout. We investigated how wellbeing during the obstetric anesthesia (ObA) rotation compared to other rotations; which workplace environment characteristics precipitated the greatest stress; and whether anxiety and stress levels changed in trainees before and after an ObA rotation.
Methods: Using a survey, anesthesia residents (N=36) ranked their wellbeing on each anesthesia rotation and answered questions about work environment. Read More
BMC Pregnancy Childbirth 2018 Dec 3;18(1):465. Epub 2018 Dec 3.
Department of Surgery and Surgical Nursing with the Scientific Research Laboratory, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland.
Background: The aim of this study was to describe the dietary patterns in pregnant women and determine the association between diet factors, pre-pregnancy body mass index, socio-demographic characteristics and gestational weight gain.
Methods: The analysis was conducted on a group of 458 women. Cut-off values of gestational weight gain adequacy were based on recommendations published by the US Institute of Medicine and were body mass index-specific. Read More
Gene 2018 Nov 27. Epub 2018 Nov 27.
Human Sperm Bank, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, China; Department of Obstetrics/Gynecology, Joint Laboratory of Reproductive Medicine (SCU-CUHK), Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, China. Electronic address:
Morphological abnormality of spermatozoa head is a human infertility syndrome caused by spermatogenesis defects. The genetic alterations associated with macrozoospermia, globozoospermia and acephalic spermatozoa are relatively definite, whereas the underlying pathogenesis of small-headed sperm remains unclear. Here, we report a 32-year-old infertile male from a consanguineous family, who presented with 95% of small-headed sperm. Read More
Eur J Contracept Reprod Health Care 2018 Nov 30:1-6. Epub 2018 Nov 30.
e Gynecology-Obstetric Department , Hospital Loire Vendée Ocean , Challans , France.
Objective: The aim of this study was to evaluate the continuation rates of reimbursed contraceptive methods in French real-world conditions.
Methods: A retrospective cohort study using a representative sample of the national health insurance database, the General Sample of Beneficiaries (Echantillon Généralistes des Bénéficiaires [EGB]), was performed between 2006 and 2012. Selected women were ≥15 years of age and had started a reimbursed contraceptive method between 2009 and 2012 without prior reimbursement for an implant or an intrauterine contraceptive method between 2006 and 2008. Read More
Lond Med Phys J 1816 May;35(207):350-352
Lond Med Phys J 1816 May;35(207):359-363
Lond Med Phys J 1816 May;35(207):363-367
Lond Med Phys J 1816 May;35(207):348-349
Lond Med Phys J 1816 Mar;35(205):174-182
Lond Med Phys J 1816 Jan;35(203):3-7
Member of the Royal College of Surgeons in London.
Lond Med Phys J 1816 Aug;36(210):96-100
Lond Med Phys J 1816 Jul;36(209):3-9